Provider Demographics
NPI:1215606801
Name:QUIROPLAZA LLC
Entity Type:Organization
Organization Name:QUIROPLAZA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:B
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-294-2600
Mailing Address - Street 1:PO BOX 1560
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00977-1560
Mailing Address - Country:US
Mailing Address - Phone:787-294-2600
Mailing Address - Fax:787-294-2900
Practice Address - Street 1:525 AVE FD ROOSEVELT, OFIC 805
Practice Address - Street 2:LA TORRE DE PLAZA LAS AMERICAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-294-2600
Practice Address - Fax:787-294-2900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty